ERNEST LYSANDER SANTIAGO REYES

PASADENA, CA
NPI1215567888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  50483)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
ERNEST LYSANDER SANTIAGO REYES PTA
837 S FAIR OAKS AVE STE 204
PASADENA, CA 91105-2647
Phone number: 626-627-2141
Mailing Address
ERNEST LYSANDER SANTIAGO REYES PTA
500 IVY ST STE 200
GLENDALE, CA 91204-1243
Phone number: 818-531-6986
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